ICD-10 · PDGM grouping
M76 Enthesopathies, lower limb, excluding foot
All 34 codes in the M76 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
34
Can lead a claim
23
Cannot lead a claim
11
What CMS assigns to M76
23 of the 34 codes group to Musculoskeletal Rehabilitation; 11 are assigned no clinical group. None of the 34 is assigned a comorbidity subgroup. 23 of the 34 can lead a claim.
Every code in M76
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| M76.0 Gluteal tendinitis | ||||
| M76.00 | Gluteal tendinitis, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.01 | Gluteal tendinitis, right hip | Can lead a claim | E | None |
| M76.02 | Gluteal tendinitis, left hip | Can lead a claim | E | None |
| M76.1 Psoas tendinitis | ||||
| M76.10 | Psoas tendinitis, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.11 | Psoas tendinitis, right hip | Can lead a claim | E | None |
| M76.12 | Psoas tendinitis, left hip | Can lead a claim | E | None |
| M76.2 Iliac crest spur | ||||
| M76.20 | Iliac crest spur, unspecified hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.21 | Iliac crest spur, right hip | Can lead a claim | E | None |
| M76.22 | Iliac crest spur, left hip | Can lead a claim | E | None |
| M76.3 Iliotibial band syndrome | ||||
| M76.30 | Iliotibial band syndrome, unspecified leg | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.31 | Iliotibial band syndrome, right leg | Can lead a claim | E | None |
| M76.32 | Iliotibial band syndrome, left leg | Can lead a claim | E | None |
| M76.4 Tibial collateral bursitis [Pellegrini-Stieda] | ||||
| M76.40 | Tibial collateral bursitis [Pellegrini-Stieda], unspecified legCMS: Tibial collateral bursitis, unspecified leg | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.41 | Tibial collateral bursitis [Pellegrini-Stieda], right leg | Can lead a claim | E | None |
| M76.42 | Tibial collateral bursitis [Pellegrini-Stieda], left leg | Can lead a claim | E | None |
| M76.5 Patellar tendinitis | ||||
| M76.50 | Patellar tendinitis, unspecified knee | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.51 | Patellar tendinitis, right knee | Can lead a claim | E | None |
| M76.52 | Patellar tendinitis, left knee | Can lead a claim | E | None |
| M76.6 Achilles tendinitis | ||||
| M76.60 | Achilles tendinitis, unspecified leg | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.61 | Achilles tendinitis, right leg | Can lead a claim | E | None |
| M76.62 | Achilles tendinitis, left leg | Can lead a claim | E | None |
| M76.7 Peroneal tendinitis | ||||
| M76.70 | Peroneal tendinitis, unspecified leg | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.71 | Peroneal tendinitis, right leg | Can lead a claim | E | None |
| M76.72 | Peroneal tendinitis, left leg | Can lead a claim | E | None |
| M76.8 Other specified enthesopathies of lower limb, excluding foot | ||||
| M76.81 Anterior tibial syndrome | ||||
| M76.811 | Anterior tibial syndrome, right leg | Can lead a claim | E | None |
| M76.812 | Anterior tibial syndrome, left leg | Can lead a claim | E | None |
| M76.819 | Anterior tibial syndrome, unspecified leg | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.82 Posterior tibial tendinitis | ||||
| M76.821 | Posterior tibial tendinitis, right leg | Can lead a claim | E | None |
| M76.822 | Posterior tibial tendinitis, left leg | Can lead a claim | E | None |
| M76.829 | Posterior tibial tendinitis, unspecified leg | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.89 Other specified enthesopathies of lower limb, excluding foot | ||||
| M76.891 | Other specified enthesopathies of right lower limb, excluding footCMS: Oth enthesopathies of right lower limb, excluding foot | Can lead a claim | E | None |
| M76.892 | Other specified enthesopathies of left lower limb, excluding footCMS: Oth enthesopathies of left lower limb, excluding foot | Can lead a claim | E | None |
| M76.899 | Other specified enthesopathies of unspecified lower limb, excluding footCMS: Oth enthesopathies of unspecified lower limb, excluding foot | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| M76.9 | Unspecified enthesopathy, lower limb, excluding foot | Can lead a claim | E | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue